Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristen Tysell Ghoussaini, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1104068444

Mrs. Kristen Tysell Ghoussaini, PNP is a Pediatric Nurse Practitioner in Oakland, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 744 52nd St, Oakland, CA 94609-1810 — (510) 428-3319

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 21230 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 382047 (NY)

Record details

NPI number1104068444
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorYes
NPI enumeratedApril 1, 2009
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

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